Effect of a circumferential ferrule on the survival and success of endodontically treated teeth restored with fiber posts: A systematic review and meta-analysis

Raghad A Al-Dabbagh; Mohammed A Sindi; Mohammed A Sanari; Alaa I Manna; Mona A Al-Dabbagh

doi:10.1016/j.prosdent.2023.12.002

Effect of a circumferential ferrule on the survival and success of endodontically treated teeth restored with fiber posts: A systematic review and meta-analysis

J Prosthet Dent. 2024 Jan 11:S0022-3913(23)00809-0. doi: 10.1016/j.prosdent.2023.12.002. Online ahead of print.

Authors

Raghad A Al-Dabbagh¹, Mohammed A Sindi², Mohammed A Sanari², Alaa I Manna³, Mona A Al-Dabbagh⁴

Affiliations

¹ Associate Professor and Prosthodontics Consultant, Oral and Maxillofacial Rehabilitation Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia. Electronic address: raaldabbagh@kau.edu.sa.
² Graduate student, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
³ Assistant Professor and Restorative Dentistry Consultant, Department of Restorative Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
⁴ Pediatric Infectious Diseases and Transplant Infectious Diseases Consultant, King Abdulaziz Medical City, Jeddah, Saudi Arabia; and Clinical Assistant Professor in Pediatric Infectious Diseases, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.

PMID: 38216376
DOI: 10.1016/j.prosdent.2023.12.002

Abstract

Statement of problem: The success of endodontically treated teeth (ETT) is influenced by factors that include the use of prefabricated glass fiber posts. A consideration for success is the presence of a circumferential ferrule, but systematic reviews and meta-analyses are lacking.

Purpose: The purpose of this systematic review and meta-analysis was to assess the impact of the presence or absence of a circumferential ferrule on the survival and success rates of ETT restored with prefabricated fiber posts.

Material and methods: Adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a comprehensive search of the major scientific literature databases was conducted. Eligible studies included randomized clinical trials and prospective cohort studies with a minimum 6-month follow-up, focusing on ETT restored with fiber posts either with or without a uniform circumferential ferrule. Relative risks (RRs) and 95% confidence intervals (CIs) were calculated to compare outcomes. The degree of variability among studies was assessed using the chi-squared test (α=.05).

Results: Of 3731 identified records, 8 were eligible for inclusion. Direct analysis of success rates (2 studies, 123 teeth) showed a significant increase in success when a uniform circumferential ferrule was present (RR=1.28, 95% CI: 1.06, 1.54, P<.05). However, indirect analysis of survival and success rates (8 studies, 407 teeth) indicated no significant differences in outcomes between the ferrule and no ferrule groups (P>.05).

Conclusions: The results of this systematic review and meta-analysis determined that a uniform circumferential ferrule had a positive effect on the success rates of ETT restored with prefabricated fiber posts. However, further high-quality studies are required to provide more robust evidence and to allow potential confounding factors to be considered.

Publication types

Review